Individual
STEPHANIE MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6924 NE SANDY BLVD, PORTLAND, OR 97213-5256
(503) 660-4445
Mailing address
712 HARRIS HILL RD, ELMIRA, NY 14903-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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